| |
2010 Magazine St New Orleans LA 70130-5018 | |
(504) 529-5558 | |
(504) 529-8840 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2010 Magazine St, New Orleans, Louisiana |
Authorized Official Name and Position | Donald T. Erwin (CEO) |
Authorized Official Contact | 5045295558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1936 Magazine St New Orleans LA 70130-5016 Ph: (504) 529-5558 | 2010 Magazine St New Orleans LA 70130-5018 Ph: (504) 529-5558 |
NPI Number | 1598215402 |
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Provider Enumeration Date | 10/04/2016 |
Last Update Date | 11/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598215402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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